Permit CITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP2003 -00640
DEVELOPMENT SERVICES DATE ISSUED: 5/17/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09426 SW WASHINGTON SQUARE RD K -4 PARCEL: 1S12600 -00300
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 39 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 80,000.00
Remarks: Tenant improvement
Owner: Contractor:
PPR WASHINGTON SQUARE LLC G M NORTHRUP
BY THE MACERICH COMPANY 15950 FRANKLIN TRAIL SE
9585 SW WASHINGTON SQ. RD. PRIOR LAKE, MN 55372
P9RTL AND, OR 97223
o
Phone: 612- 431 -6809
Reg #: LIC 129093
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] Pln Rv 11/4/2003 $412.69 Electrical Permit Required
FLS PIn Rv 11/4/2003 $253.96
Sprinkler gr Permit Required
[FLS] FLS
Permit Fee 5/17/2004 $ 634.90 Framing Insp
[BUILD] Gyp Board Insp
[TAX] 8% State Surcharl 5/17/2004 $50.79 Susp Ceilng Insp
Total Final Inspection
$1,352.34
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By:�
Permittee
Signature
Call 639 -4175 by 7 p.m. for an inspection the next business day
lit t` 5' iv i*AsotavbsroNs SR RD
07/ 09:40 FAX 503598 960 CITY OF TIGARD Iiii002 s .
►,� � ,
;To1/RP er $44De $$7.04-13- b Permit Application FOR ► ►'iC 1 ►�
: i_
EN ED • ^ • Building n.. ' ` � Permit No : /d LI , O �DO(pc�p
C ty of Tigard ��� g Other
Date/$ : Permit No.: S
13125 SW Hall Blvd. Pie c
Tigard, Oregon 97223 ®� 4 2003 an R "L X 03 Permit No.:
Phone: 503- 639 -4171 Plc 503 - 598 -1960 ''''''' -.c; II \ Land Use
Internet: w ww.ci.tigard.or F TIGAR =` . . L • - Case No. ' f
24-hour Inspection Requ Q N Cane kris.: =' See Pena rmit
,r aeon
,yam: - Y,.,. : "4,, . ", i '_i 2 "41- L _,61 '_ :, VI", T ' i 11r, Is ..' 1�r . � ∎I 7 1 L n ti L ti '
r New construction I• Demolition -. ..'11', , '''• i . � ,
rAddition/alteration/r • • lacement r Other `"` `' ' `/ - ; - ;,'!':,''or �, r ""'I
t
' - �� -''t - t = 7 : 0 ::: - .T-,"..:X:":' - ''.•V , f I T r` Note: Permit fees" are based on the total value of the work performed. Indicate
r 1 & 2-Family welli n : 1 Commercial/industrial the value (rounded to the nearest dollar) dell equipment, materials, labor,
overhead and profit for the work indicated on tins application.
• Accessory Building ■ Multi -Fermi
■ Master Builder IN Other: A r °0••-a— t
T ' : - f - 1 Ir , i ; °, r 1 r 1 ��-acri.. i � .. -fl �
;1a_ >0 1.LL :_4_ _ _._. _. » : _ l .,.._.. r. 71 I 1. , . Architect: Kevin L COO per
i
Job site address: ' • ' . fi]. , i , �,,,f�� . , / 316 South First St
�i�
Bld:./A.t. Rogers AR 72756 FA
Pro ect Name: d a , - 1 a1MTri, i. I 479-633-8181
Cross street/Th7ections to . b site:
'-',..':.' ' - - .• 71 '.:7-,7.7. , -7,7z.:'=.' -' ,:''!..- - ..: - - A
Subdivision: 1 Lot #: 2 y , : r •_.
Tax ma • • arcel #: Note: Perrot fees° me based on the total value of the work performed Indicate k
u,' , �r ,:}. ! t - 6 F. `:171:7793 7 :,;4; -
I " 3: i - ..� ° ' r , 'j the value (rounded to the neatest dollar) of all equipment, materials, labor,
overhead and proft for the work indicated on this application,
Valuation. $ gD ,%)°°
Existing building area (sq. ft.)
New building area (sq. ft.)
�7ir '!1 y .t c t T �' '; r e.V�1 ?."" I ` ,;: .i ;;
Number stories
�r } r� _ w � L r �_...i� Lt�- :+ . .. riE }�U �- 1�'pe of construction. 5 s k
Name : [+J,�.�I I e r % irillrfin Occupancy group(s): Existing: c., °E 3 1? '" Address: I 1 i�, �i��/� ,,' New: — .
r. Ra
Phone 4! NOTICE: All contactors and subcontractors are required to be
' '�� licensed with the Oregon Construction Contractors Board under 1
�11�! f - provisions of ORS 701 and maybe required to be licensed in the
Business Name: _ • , ;r . I rte. _ i / ' jurisdiction where work is being perfortned. If the applicant is exempt
P.
Contact Name: -, / t , - a i. s iffilteM from licensing, the following reason applies:
Address: A/ ,' Ii. A %;I-
Phone:., : - ,S igill r '.,1',,".,!.177.-,; - ,
E mail / �� _ 4 r i , LI. 1 , e y `
"V., ei i u .i it _�.. r t_w ..1: ., a ,1 .._ ' Li i., i . _
t .. _.._... _-_ . 1 . � .._ _inc r ,. , �
/liCflt � ;; Contractor: G- Al , - No277t/24-t/' ; due u application $ 1pip . 61.1
Address: /S` 9So / 77Z-3/L. 5 €
City /St /Zip: "2/02 l-ri, e /y /l/ )unt reccived $
Phone: 6.41 - S - 4 PO `j' Fax: : received: t
CCB #; ` f / g 9 0 93 44 o
c...ua...,� eu Nodes: This permit application expires If a permit k not obtained within
„ �
S' : al .C•
1 � . ,ice � (05 Date: lb 1/
• • I ..` � � r I �. 'ft Mb 180 days after h complete. has been accepted ■e complete.
�11 T
"F ee me set by Tri-County Building Industry Service Board.
'lease • n name)
i:\Dets\Permit For'mslBldgPenrdtApp.doc 01/03
Bo, ODD -- ,9PPi-i C�iuT'�E56ufa `� 0 67 19 . th 5
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CITY OF TIGARD 24 -Hour
BUILDINCs Inspection Line: (503) 639 - 4175
INSPECTIOW DIVISION Business Line: (503) 639 -4171 ST
BUR R�� -
Received Date Requested , ° AM PM BUP
Location (e �, �' Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
7,1001M 1.
PART FAIL % I
NG IS
•
• • Beam
Under Slab -
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL �.
Service /
Rough -In � j ∎�1 _ 1 _ i /
UG/Slab ' v.-vs
Low Voltage � �
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•